Baw Baw Shire - Application & PPF Form

Deferral Form

Yes

If you would like to place your child on the allocation list for a Baw Baw Shire Kindergarten please complete the following form.

Eligibility

Born Between	Year Eligible for 3YO	Year Eligible for 4YO
01/05/2019 - 30/04/2020		2024
01/05/2020 - 30/04/2021	2024	2025
01/05/2021 - 30/04/2022	2025

Children born between January to April are in the youngest sector of the group and may not be quite ready for the expectations of Kindergarten. Families have the choice to defer their kindergarten year to the following year. This would see their child turn four during the three-year-old kindergarten program and six in the year they commence school. Children will not be eligible to be funded for two years of 3-year-old kindergarten so please consider readiness before enrolment.

If you have questions about deferring your child, or their readiness for Kindergarten, please contact Family & Children’s Services on 5624 2540.

Date

What year would you like your child to start kindergarten? *

What program type is this application relevant to?*

Does this child identify as Aboriginal / Torres Strait Islander?*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNone of the above

Is your child or family known to child protection or connected with Department of Families, Fairness and Housing or any other support services (eg Orange Door)?*

YesNo

Both ESK Questions Answered?

Yes

Your child qualifies for Early Start Kindergarten which enables you to access 15 hour of free Kindergarten program. If 15 hours is not available within a 3 year old program this may be offered in a 4 year old program.

As you are eligible for Early Start Kindergarten, do wish to enrol as an Early Start enrolment?

YesNo

Child's Name*

First NameLast Name

Gender*

MaleFemaleUnspecified

Child's Date of Birth*

The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel at www.betterhealth.vic.gov.au/campaigns/no-jab-no-play

Are your child's immunisation up to date?*

YesNo

Due to the State Government policy No Jab No Play your child may not secure an enrolment place in a funded Kindergarten program if proof of immunisation cannot be provided.

Parent / Guardian 1*

First NameLast Name

Relationship to the child*

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

Please Note: You will be notified of all correspondence via email, please use an email address that is regularly monitored.

Would you like to add a second parent / guardian?*

YesNo

Parent / Guardian 2*

First NameLast Name

Relationship to the child*

Parent / Guardian 2 Address*

Same as parent / guardian 1Different to parent / guardian 1

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

Please Note: Parent 2 is registering for enquiry purposes only. No placement correspondence will be emailed directly for actioning.

Language/s spoken at home:

Is an interpreter required?

YesNo

Are you a resident of BawBaw Shire?*

YesNo

Non Baw Baw Shire residents will not be considered for first round offers unless they can show evidence.

Are you moving to the Shire ?

YesNo

Date Moving to Area*

Add Evidence of moving to Baw Baw Shire*

Browse Files

Applying to attend a specific kinder outside my Municipality ?

YesNo

You are considered a non resident of Baw Baw Shire. Your application will be accepted and allocated after the 1st round offers have been completed.

Does this child have a sibling who has previously attended this Kindergarten?

YesNo

DET provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria:

Health Care Number*

Health Care expiry date*

Pensioner Number*

Pension Card Expiry Date

Supporting documentation will need to be sighted on commencement at Kindergarten.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx

All programs and session times listed below are proposed and subject to change. Every effort is made by Kindergarten Services to offer the programs listed below but changes may be required due to increased demand for kindergarten places or to ensure adequate staffing to meet ratios.

Please select the appropriate Year and Program Type below to see the Kindergarten session times:

Baw Baw Shire Kindergarten Application Form

Kindergarten Preferences

Child Details

Parent Details

Residency

Kinder Fee Subsidy

Program Selection

3 Year Old Kindergarten - Preferences

4 Year Old Kindergarten - Preferences

3 Year Old Kindergarten - Preferences

4 Year Old Kindergarten - Preferences

Additional Information

Declaration